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We are currently seeking an experienced:
MEMBER NAVIGATOR
Full Time
JOB SUMMARY:
- Assists with access to care for CSNP members in collaboration with RN case manager and nurse practitioner.
- Obtains information for members based on the model of care requirements.
- Obtains information to assist with evaluation of patient needs.
- Communicate effectively with individuals across the care continuum.
- Documents member information in the electronic medical record.
- Reviews appointments communication pertinent information to RN Case Manager(s) and nurse practitioner(s) for additional interventions
- Collaborate with IDT for coordination of care
- Communicate with member and/or family obtaining and providing information regarding care and needs.
- Strong communication skills and focus on customer needs and services.
- Assists with any patient emergency as needed.
- Recommends and/or conducts specific areas of in-service or continuing education with patients and caregiver as appropriate.
- Assists with compliance of quality measures for CSNP program
- Assist with HEDIS measures and collection of data
- Assist with collection and presentation of QA data for the CSNP program
- Participates on ICT meetings for CSNP members
- Functions in CNA role if needed for member visits
- Performs other duties as assigned.
JOB REQUIREMENTS:
- Graduated from an accredited Certified Nursing Assistant (CNA) with a current CNA certification in the state of practice preferred
- 2 years' clinical experience as a Certified Nursing Assistant (CNA) in geriatric, adult or family practice setting, preferred
- 2 years' experience working in a community-based program involving geriatric, adult or family practice setting
- Pertinent clinical work experience relevant to population served.
- Current BLS certification
- Must be able to demonstrate computer skills, including use of e-mail and Microsoft office word and excel
- Must be able to demonstrate effective written communication skills including but not limited to writing reports and correspondence
- Must be able to demonstrate effective verbal communication skills, including but not limited to speaking effectively to members, providers, families and staff and listening to members, providers and families
- Demonstrated ability to meet deadlines, and use time effectively and efficiently.
- Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and shifts gears comfortably
- Is dedicated to meeting the expectations and requirements of both external and internal customers, acts with customers in mind
- Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect
- Uses logical methods to solve problems with effective solutions; looks beyond the obvious for solutions
- Is action oriented and sees challenges as opportunities
- Knowledge of community resources
- Previous experience working with behavioral health populations
- Experience working with low income and disadvantaged populations
- Previous work with vulnerable adults or senior population
- Must meet company driving standards
- Must have valid state driver's license and be able to drive a car
- Must meet company's automobile liability insurance standards and provide proof of coverage
- Must be able to independently travel to assigned locations
Visit for more information. Background checks/drug-free workplace. EOE.
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